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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-353236

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1. AMERICAN MEDICAL RESPONSE INC POLITICAL ACTION COMMITTEE

    6200 S SYRACUSE WAY STE 200
    GREENWOOD VILLAGE, CO 80111
    Email: david.buckley@emsc.net

2. Date: 07/18/2008

3. FEC Committee ID #: C00389585 This committee is a separate segregated fund. Its connected organization is a Corporation

Affiliated Committees/Organizations

Committee ID# C00398271
EMCARE POLITICAL ACTION COMMITTEE
1717 MAIN STREET SUITE 5200
DALLAS, Texas 75201
Affiliated Relationship Code: Affiliated Committee

AMERICAN MEDICAL RESPONSE INC
6200 S. Syracuse Way, Suite 200
Greenwood Village, Colorado 80111
Affiliated Relationship Code: Connected Organization

Custodian of Records:

Terri Olmsted
6200 S. Syracuse Way, Ste 200
Greenwood Village, CO 80111
Title: Supervisor Bank Rec
Phone # (303) 495-1418

Treasurer:

David Buckley
10350 Dahlberg Road
Franktown, Colorado 80016
Title: Dir of Business Dev
Phone # (303) 495-1280

Designated Agent(s):

David Buckley
10350 Dahlberg Road
Franktown, Colorado 80016
Title: Treasurer
Phone # (303) 495-1280

Terri Olmsted
6200 S. Syracuse Way, Ste 200
Greenwood Village, Colorado 80111
Title: Assistant Treasurer
Phone # (303) 495-1418

Banks or Depositories

Wells Fargo
P.O. Box 5247
Denver, Colorado 80274

Signed: Terri Olmsted
Date Signed: 07/18/2008

(End FEC FORM 1)

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